CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Fostoria Community Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $5,495
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Fostoria Community Hospital is $5,495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 0.97x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,495

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $5,495 (97%)
Ins. Median: $5,495 (97% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Paramount Health Care $2,817 50%
Health Value Management $2,889 - $9,680 51%
Aetna $2,913 - $6,506 51%
Blue Cross Blue Shield $2,913 - $5,979 51%
Veterans Affairs $2,913 51%
Health Alliance Plan $2,947 52%
Buckeye Community Health Plan $2,976 52%
Buckeye Community Health Plan Inc $5,243 - $6,998 92%
Dayton Area Health Plan Dba Caresource $5,495 97%
Meridian Health Plan Of Mi $5,979 105%
UnitedHealthcare $7,029 124%
Medical Mutual Of Ohio $9,680 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Van Buren Street, Fostoria, OH 44830
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals